Latest advances
bone grafts
Where there is a lack of bone or we find that the residual space left by the root of a tooth is very large, we insert osseous tissue. In this way, we increase the width of the bone or we impede the walls from collapsing; this then means that we have sufficient bone mass when we insert an implant.
This indication is particularly useful in those situations where the aesthetic requirements are considerable; when inserting bone, we stop the gums from collapsing in and the gingival outline will be similar to the natural one.
The bone we insert can be from the patient him/herself or provided by commercial brands.
At the Clinic we have developed techniques based on the use of bone-recovery drills and specific protocols that enable us to obtain considerable quantities of bone from the patient him/herself, without added trauma or surgery. The idea is simple: we recover the osseous tissue that must be removed by drills to make space for the implant and we insert it in places where it is needed.
Other times we will be obliged to obtain bone from other locations. In these cases we study the best alternative as source of osseous tissue.
On other occasions, bone cannot be recovered from the patient him/herself and we then resort to heterologous sources. The bone we use is fully guaranteed and does not present problems whatsoever. The bone used is of the Bioss brand.
FIRST CASE
Obtaining bone from the patient him/herself during the insertion of some implants.
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One implant has now been inserted and the drilling is being performed for the second implant. With a drill-full of recovered bone and following specific protocols with regard to speed, torque and irrigation, the removed bone is “saved” in the coils of the drill itself. |
Detail of the drill retaining the bone that will be used to fill in deficient spaces |
SECOND CASE
Extraction of inferior incisors and filling with heterologous bone.
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In the image you can see how, due to “pyorrhoea” the patient had lost all the bone that, with its vestibular wall, surrounded the inferior incisors. |
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The space was filled with Bioss bone. |
And the wound is sutured. |
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Photograph taken one week later prior to taking out the stitches. |
After removing the stitches, you can see a white substance which is the fibrin coating the graft. |
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After one month: you can see how the scar is healing and the mucous membrane is closing the gap between the two borders. |
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THIRT CASE
With a scan image we show the volume achieved thanks to a bone graft
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State of the osseous crest after extracting the 4 superior incisors due to infected fracture. The graft tissue can be seen (in this case joined to the growth factor gel) and it is contained by the stitches. |
State of the area after one month. The gum is yet to mature but you can see how the vestibular volume of the gum has been maintained. |
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Tomographic and three dimensional images of the area. We indicate with red arrows the area that has the bone graft: greater radiological density. If the bone graft had not been carried out, you can see that bone loss would have impeded the insertion of the implants or if they had of been inserted they would have been seriously deficient aesthetically. |
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